Southeast Wellness Lane Corp
LBN: Southeast Wellness Lane Corp
Southeast Wellness Lane Corp is an health care organization with primary practice located at 13265 Sw 39Th St , Davie FL 33330-4748. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty.
Southeast Wellness Lane Corp can be contacted via phone (786) 493-2293, or through Salas Espinosa, Yuri via phone (786) 493-2293.
Contact Information
Primary practice address
13265 Sw 39Th St
Davie FL 33330-4748
Phone: (786) 493-2293
Fax:
Website:
Authorized official contact:
Name: Salas Espinosa, Yuri Doctor of Medicine (MD)
Phone: (786) 493-2293
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X |
Profile Details
NPI number | 1962962316 |
---|---|
LBN Legal business name | Southeast Wellness Lane Corp |
DBA Doing business as | |
Authorized official | Salas Espinosa, Yuri Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 21st, 2019 |
Last updated | Mar 21st, 2019 - about 5 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1962962316 | NPPES |
Florida | MEDICAID | 006456700 |
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